equate lice treatment by Wal-Mart Stores Inc

Disclaimer: Most OTC drugs are not reviewed and approved by FDA, however they may be marketed if they comply with applicable regulations and policies. FDA has not evaluated whether this product complies.

Wal-Mart Lice Treatment Kit Drug Facts

Active ingredient

Piperonyl butoxide 4%

Pyrethrum extract (equivalent to 0.33% pyrethrins)

Purpose

Lice treatment

Uses

treats head, pubic (crab), and body lice

Warnings

For external use only

Do not use

near eyes

inside nose, mouth, or vagina

on lice in eyebrows or eyelashes. See a doctor if lice are present in these areas.

Ask a doctor before use if you are

allergic to ragweed. May cause breathing difficulty or an asthmatic attack.

When using this product

keep eyes tightly closed and protect eyes with a washcloth or towel

if product gets into eyes, flush with water right away

scalp itching or redness may occur

Stop use and ask a doctor if

breathing difficulty occurs

eye irritation occurs

skin or scalp irritation continues or infection occurs

Keep out of reach of children.

If swallowed, get medical help or contact a Poison Control Center right away.

Directions

Shake well before using

Important: Read warnings before use

Adults and children 2 years and over:

Inspect

check each household member with a magnifying glass in bright light for lice/nits (eggs)

look for tiny nits near scalp, beginning at back of neck and behind ears

examine small sections of hair at a time

unlike dandruff which moves when touched, nits stick to the hair

if either lice or nits are found, treat with this product

Treat

apply thoroughly to DRY HAIR or other affected area. For head lice, first apply behind ears and to back of neck.

allow product to remain for 10 minutes, but no longer

use warm water to form a lather, shampoo, then thoroughly rinse

for head lice, towel dry hair and comb out tangles

Remove lice and their eggs (nits)

use a fine-tooth or special lice/nit comb. Remove any remaining nits by hand (using a throw-away glove).

hair should remain slightly damp while removing nits

if hair dries during combing, dampen slightly with water

for head lice, part hair into sections. Do one section at a time starting on top of head. Longer hair may take 1 to 2 hours.

lift a 1- to 2-inch wide strand of hair. Place comb as close to scalp as possible and comb with a firm, even motion away from scalp.

• Also, lice can hold their breath when immersed in water making it difficult for the active ingredient to penetrate the lice.

• For head lice, thoroughly massage shampoo into scalp, behind the ears and to the back of the neck. Lice can crawl up and down the shaft of the hair very quickly so it is important to apply the treatment from the roots to the ends of the hair.

• Allow product to remain on the hair (or other affected area) for 10 minutes, but no longer.

• Add warm water and massage to form a lather.

• Rinse thoroughly.

• For head lice, towel dry hair and comb out tangles.

• Proceed to Step 2.

• A second treatment must be done in 7 to 10 days to kill any newly hatched lice.

Step 2: Remove

Egg & Nit Combing Gel

This product should be used AFTER Lice Killing Shampoo (Step 1). Combing out eggs & nits* is an essential step to complete lice control.

See Usage Guidelines below to estimate how much product you will need.

NOTE:

• A fine-toothed comb or a special lice/nit removing comb (included) must be used to remove lice, eggs, and nits from hair.

• Before starting have on hand:

- extra towels

- bobby pins or hair clips

- facial tissues or paper towels

- regular comb for parting and detangling hair

- throw-away gloves

• Find a distraction for your child (e.g. books, TV, game).

• Comb out damp hair with a regular wide-tooth comb to take out snarls and tangles.

• Apply Egg & Nit Combing Gel to one section of hair. (Do not apply to entire head at once, since gel dries quickly.)

• Massage thoroughly until all strands of hair in this section are covered with the gel.

• When combing, use the fine-toothed lice/nit comb provided and make sure the teeth are facing you.

• Part hair into sections. Do one section at a time starting on top of head. Longer hair may take 1 to 2 hours.

• Lift a small strand of hair (about 1-2" thick) from the section with the gel.

• Begin combing in a "scooping" motion: gently push the teeth as close to the scalp as possible and drag comb firmly and evenly from the scalp to the ends of the hair (newly-laid eggs are found near the roots of the hair so it is important to get the teeth very close to the scalp). Make sure the teeth are deeply embedded into the strands as you comb through.

• Always comb away from the head.

• Wipe eggs and nits from the teeth of the comb often with a tissue or paper towel.

• Remove any remaining nits by hand (using a throw-away glove).

• Discard all the used tissues or cloths into a sealed plastic bag and dispose of immediately to prevent lice from coming back.

• Pin back the strand you just finished combing with a bobby pin or hair clip.

• Lift up another 1-2 inch strand with gel and repeat the combing procedure.

• When one section with gel has been combed and pinned, apply Egg & Nit Combing Gel to another section of hair. Continue to comb hair 1-2 inches at a time until entire head has been combed and pinned.

• After you have combed and pinned the entire head, remove all bobby pins or hair clips and thoroughly recheck for lice/nits. Repeat combing if necessary. Rinse hair thoroughly with warm water. If desired, you may also wash with regular shampoo.

* Nits are empty eggshells left behind when lice hatch from eggs.

Step 3: Control

Lice Control Spray

Use Lice Control Spray to kill lice and their eggs on mattresses, furniture, car interiors and other non-washable items.

• Use Lice Control Spray to kill lice and their eggs on mattresses, furniture, car interiors and other non-washable items. A regular disinfectant spray will not kill lice and their eggs.

• After spraying the infested area, vacuum rugs and carpets. Dispose of the vacuum cleaner bags after use.

• items that cannot be washed (bedspreads, blankets, pillows, stuffed toys, etc.) should be dry-cleaned or sealed in a plastic bag for 4 weeks, then removed outdoors and shaken out very hard before using again

• items that cannot be washed, dry-cleaned, or stored may be sprayed with a product designed for this purpose

• soak all combs and brushes in hot water (above 54°C (130°F)) for at least 10 minutes

• vacuum all carpets, mattresses, upholstered furniture, and car seats that may have been used by affected people

Pubic (Crab) Lice

• may be transmitted by sexual contact. Sexual partners should be treated simultaneously to avoid reinfestation

• lice are very small and look like brown or grey dots on skin

• usually cause intense itching and lay small white eggs (nits) on the hair shaft generally close to the skin surface

• may be present on the short hairs of groin, thighs, trunk, and underarms, and occasionally on the beard and mustache

• disinfect underwear by machine washing in hot water (above 54°C (130°F)), then using hottest dryer cycle for at least 20 minutes

Body Lice

• body lice and their eggs (nits) are generally found in the seams of clothing particularly in waistline and armpit area

• body lice feed on skin then return to clothing to lay their eggs

• disinfect clothing by machine washing in hot water (above 54°C (130°F)), then using hottest dryer cycle for at least 20 minutes

• do not seal clothing in a plastic bag because nits can remain dormant for up to 30 days

CAUTION: Harmful if swallowed or absorbed through skin. Avoid inhalation of spray mist. Causes eye irritation. Avoid contact with skin, eyes or clothing. Wash thoroughly with soap and water after handling. Avoid contamination of feed and foodstuffs.

PHYSICAL OR CHEMICAL HAZARDS

Contents under pressure. Do not use or store near heat or open flame. Do not puncture or incinerate container. Exposure to temperatures above 130°F (54°C) may cause bursting.

FIRST AID

Call a Poison Control Center or doctor immediately for treatment advice. Have product container or label with you when calling a Poison Control Center or doctor or going for treatment.

If swallowed:

Immediately call a Poison Control Center or doctor.

Do not induce vomiting unless told to do so by a Poison Control Center or doctor.

Do not give any liquid to the person.

Do not give anything by mouth to an unconscious person.

If in eyes:

Hold eye open and rinse slowly and gently with water for 15-20 minutes.

Remove contact lenses, if present, after the first 5 minutes, then continue rinsing eye.

If inhaled:

Move person to fresh air.

If person is not breathing, call 911 or an ambulance, then give artificial respiration, preferably by mouth-to-mouth, if possible.

It is a violation of Federal law to use this product in a manner inconsistent with its labeling. Remove pets and birds and cover fish aquaria before space spraying or surface applications.

This product is not for use on humans. If lice infestation occurs on humans, use a product labeled for use on humans. Vacate room after treatment and ventilate before reoccupying. Do not allow children or pets to contact treated areas until surfaces are dry.

SHAKE WELL BEFORE USING

Remove protective cap. Hold container upright and spray from a distance of 8-10 inches. Individuals with asthma or severe allergies should consult their doctor before using this product and have someone else apply this product.

To kill lice and louse eggs: Spray in an inconspicuous area to test for possible staining or discoloration. Inspect again after drying, then proceed to spray entire area to be treated. Hold container upright with nozzle away from you. Depress valve and spray from a distance of 8 to 10 inches. Spray each square foot for three seconds. Spray to the point of dampness but not run-off. Spray only those articles and parts of bedding including mattresses and furniture, that cannot be either laundered or dry-cleaned. Do not use on pillowcases, sheets or clothing. Allow all sprayed articles to dry thoroughly before each use.

STORAGE AND DISPOSAL

Storage: Store in a cool, dry area away from children and pets and away from heat, sparks and open flame. Do not transport or store below 32°F (0°C).

Container disposal: Do Not Puncture or Incinerate.

If empty: Place in trash or offer for recycling if available.

If partly filled: Call your local solid waste agency or 1-800-CLEANUP for disposal instructions. Never place unused product down any indoor or outdoor drain.

NOTICE: Purchaser assumes all responsibility for safety and use not in accordance with directions.

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